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General NPI Number Information
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NPI Number | 1073500419
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN REGIONAL MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 10109 E 79TH STREET SOUTH
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City | TULSA
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State | OK
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Zip | 74133
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Country | US
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Telephone | 918-286-5000
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Fax | 918-286-5081
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Provider Business Mailing Address
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Address Line | 5900 BROKEN SOUND PKWY NW
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City | BOCA RATON
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State | FL
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Zip | 33487-2797
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Country | US
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Telephone | 918-286-5000
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Fax | 918-286-5081
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Authorized Official
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Title or Position | CEO
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Name | DANA HAYNIE
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Credential |
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Telephone | 918-286-5793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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